Czarina Zyra Reyes

Czarina Zyra Reyes

$15/hr
Medical Billing Specialist, Payment Posting
Reply rate:
-
Availability:
Hourly ($/hour)
Age:
34 years old
Location:
Pulilan, Bulacan, Philippines
Experience:
5 years
Czarina Zyra F. Reyes L1B2 Vea Homes Poblacion, Pulilan, Bulacan-- Objective: To secure a job in a well-established company where my skills and experience can be utilized to reach the mission and vision of the company thus attain success. _____________________________________________________________________________________ Work Experience: May 10, 2021- Present: Medical Biller/Payment Posting MCVO Talent Solutions July 13, 2021-January 6, 2022: Medical Biller KONTERRA/Mindscapepsychiatry Clinic (UPWORK- Part Time) February 1, 2021 – May 07, 2021: Medical Biller and Collection Specialist Phoenix Virtual Solutions September 14 – January 31, 2021: Medical Biller and Collection Specialist Platinum Outsource Group • • • • • • • • Charge Entry – responsible in submitting claims to different payers and making sure of the correct coding Pre-Authorization and Retro Authorization Request for Medicaid Claims thru INCEDO portal Payment Posting- posting payments from ERAs. Denial Posting- posting denial from ERAs. AR Follow-Up by calling the payer and/or utilizing provider’s portal for claim status Responsible in fixing errors, rejections and denials from the payer and clearinghouse Sending invoice to the patient Inbound and Outbound – patient’s inquiry about their Patient Responsibility Access Healthcare Services Manila (March 6, 2017- Sept. 11, 2020) 6th Flr. One World Square Florence Way Mckinley Hills Taguig City December 3, 2019– September 14, 2020: Operations Team Leader (Conversational Follow-Up) • • • • • • • • • Monitor team's performance on production & quality and provide feedback to associates. Consistently meet service levels agreements based on End-to-End Model. Coordinate and delegate work to the team members fairly. Communicate with Assistant Manager/ Operations Manager regarding specific issues relating to clients. Participate on client calls as per manager’s requirements. Process client requests, complaints, and concerns as priority Always meet client’s expectations. Review the client logs and provide suggestions to bring down the issue log percentage. HR/IT/Network/Admin related queries to be handled smoothly. October 5, 2018- December 2, 2019: Client Partner, Shared Services Business Training (Process Trainer) • • Educate, guide, and coach new hire employees on how to effectively perform their jobs by developing the capabilities that are required for optimal job performance. Involves number of complimentary activities such Training needs analysis, Training Needs Identification, Research & Development of Content. March 6, 2017 – October 4,2018: Client Partner – Revenue Cycle Specialist • • • Familiar with the day-to-day activities of the Claims Tracking process. Knowledge center and help the team with the process and queries. Should know and understand/perform pre-call analysis, call payer and use other resources like IVR/Web portals • • Involved with the educational and training activities in the team. Focused and achieved on set targets and cooperate with the team members in achieving the SLA’s. • Treated all patient and client information confidential and ensured an environment where each staff member can share concerns fears, regardless of the nature, without recrimination or humiliation. • Following Information Security Policy and Compliance requirements including regulatory compliances. Fortune Medicare, Inc. 3F Citystate Center 709 Shaw Blvd. Pasig City. March 11, 2015- February 17, 2017: Medical Liaison Officer • • • • • Visit member especially for confinement/in-patient. Assisting members for their billing concerns. Gather details from chart to determine all covered and non-covered charges. Explain to members their membership coverage. Encoding of member's for approval consultation and laboratory tests requested by their Physician. Receivers and Liquidators, Inc. /Yngson’s Law Office Unit 10 C 10th Flr. Strata 2000 Ortigas Center, Pasig September 2012- September 2013: Collection Officer • Outbound/ Inbound calls. • Collect credit card debts from delinquent cardholders. • Assist cardholders with their inquiries. Mapa’s Residence Saluysoy Meycauayan, Bulacan. December 2011-June 2012: Private Nurse • Morning Care. • Give oral meds on time. Bulacan Drug Poblacion, Bocaue, Bulacan. August 2009- February 2010: Pharmacy Assistant/ Cashier • Cashier • Dispense medicines according to drug prescription of physician. • Check expiration dates of medicines. _____________________________________________________________________________________ Skills: • • • HIPAA Certified Knowledge in using different EHRs/EMR like ATHENANET, Kareo, CHARM, Nextech, EZDERM, Symplast and ModMed. Knowledge in using Provider Portals like Availity, Navinet, Cigna, Noridian, UHC Link, Medi-Cal, Incedo, IEHP and the like. Educational Background Tertiary June 2006- May 2010: Dr. Yanga’s Colleges, Inc. Wakas, Bocaue, Bulacan Bachelor of Science in Nursing Secondary June 2002- March 2006: St. Dominic Academy Poblacion, Pulilan, Bulacan Primary June 1996- March 2002: Colegio de San Pascual Baylon Pag-Asa, Obando, Bulacan ____________________________________________________________________________________ Personal Data: Age Civil Status Gender Birth Date Birthplace Height Weight Nationality Religion : : : : : : : : : 31 Single Female 09/28/1989 Manila 5”4’ 60kgs. Filipino Roman Catholic Character Reference • John Lebbeus Burgos - Delivery Manager- Shared Services- Business Training I hereby certify that the above information is true and correct. Hope you find my application favorable. Applicant’s Signature
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